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    Exam Review

    1. When providing education to a patient on the use of a benzodiazepine medication, the nurse will include which information?(SATA)
      A)It is safe to drive while taking this medication.
      B)These drugs are safe to use with alcohol.
      C)These medications have little effect on the normal sleep cycle.
      D)Using this medication may cause drowsiness the next day.
      E)You shouldn't drink alcohol while taking benzodiazepines.
      F)It is not safe to drive while taking this medication.
    2. Barbiturates have a low therapeutic index. How does the nurse interpret this?(SATA)
      A)Low doses are not therapeutic.
      B)The toxic range is narrow.
      C)They are habit-forming.
      D)The effective, safe dosage range is narrow.
    3. The patient asks, "Is there anything I have to worry about when taking Kava?" The best response by the nurse is:
      A)Kava is a natural product and is safe for everyone.
      B)You need a prescription to take it.
      C)No worries, Kava is recommended for patients with depression.
      D)It is best to inform your healthcare provider of any additional medication or supplements you plan to take to check for interactions that may be harmful.
    4. After the 0700 report, the day shift nurse notices that a patient has a 0730 dose of insulin due and goes to the automated dispensing machine to retrieve the insulin. The nurse sees that the night shift nurse had removed the 0730 dose of insulin, but the medication administration record has not been signed by the nurse. The patient is confused and says she thinks the night nurse gave her the insulin. The patient's blood glucose level is 142 mg/dL. What will the day shift nurse do?
      A)Give the insulin because it was not signed off.
      B)Hold the insulin because the patient thinks she received it, and it is recorded in the machine.
      C)Ask the charge nurse to call the night nurse at home to clarify whether the insulin was given.
      D)Report this to the nursing supervisor.
    Page 1 of 22

    Exam Review

    1. A male patient who has a history of type 2 DM is admitted to the medical unit with a diagnosis of pneumonia. The patient has many Questions regarding his care and asks the nurse why everyone keeps telling him about HbA1C. What can the nurse inform the patient about the use of HbA1C in diabetes mellitus?
      A)It helps to identify which type of DM the patient has.
      B)It will identify if he has an infection.
      C)It will aid in monitoring patient adherence to treatment regimen for several months previously.
      D)It represents his current fasting blood glucose level.
    2. The patient was taking metformin before this hospitalization. To facilitate better glucose control, the patient has been switched to insulin therapy while hospitalized. The patient asks the nurse why it is so important to time meals with the insulin injection and to give him an example of a long-acting insulin. The nurse will tell the patient that an example of a long-acting insulin is:
      A)Insulin glulisine.
      B)Insulin isophane suspension (NPH).
      C)Insulin detemir.
      D)Insulin aspart.
    3. A patient taking ethambutol develops a sore throat and fever. What is the appropriate nursing action?
      A)Continue medication and monitor symptoms.
      B)Discontinue medication and notify the healthcare provider immediately.
      C)Increase dose to control symptoms.
      D)Prescribe an antibiotic.
    4. A patient with a history of heart failure is regularly monitored. Which test is regularly performed to monitor the patient?
      A)Blood glucose levels.
      B)Respiratory rate.
      C)Blood pressure and heart rate.
      D)Liver function tests.
    Page 2 of 22

    Exam Review

    1. For a patient on antihypertensive medication, what lifestyle modification should the nurse recommend to enhance medication effectiveness?
      A)Reduce physical activity.
      B)Increase dietary sodium intake.
      C)Limit fluid intake.
      D)Maintain a low-sodium diet and weight management.
    2. When administering an alpha-adrenergic blocker, the nurse should assess the patient for the development of what adverse effect?
      A)Renal failure.
      B)Orthostatic hypotension.
      C)Hyperglycemia.
      D)Respiratory depression.
    3. Before administering lithium to a patient, it is most important for the nurse to assess which laboratory value?
      A)Blood sugar.
      B)Sodium.
      C)Urine osmolality.
      D)Hematocrit.
    4. When providing teaching for a patient who is prescribed a selective serotonin reuptake inhibitor (SSRI), which statement will the nurse include?
      A)The SSRI will work faster than the older tricyclic antidepressants.
      B)The SSRI will have an immediate beneficial effect on the patient's depression symptoms.
      C)The SSRI will not work well for severe cases of depression.
      D)The SSRI may take several weeks to have a beneficial effect.
    Page 3 of 22

    Exam Review

    1. What is important for the nurse to assess in the patient's history before administering a serotonin agonist?
      A)Hypertension.
      B)Allergy to penicillin.
      C)Chronic bronchitis.
      D)Cataracts.
    2. When providing education to the patient on the use of a benzodiazepine medication, what information will the nurse include?
      A)These drugs are safe to take with alcohol.
      B)The medication may cause drowsiness and dizziness.
      C)These drugs should be taken with meals to improve absorption.
      D)The medication can be stopped abruptly without any side effects.
    3. A patient on an ACE inhibitor reports a dry cough. What is the most appropriate nursing response?
      A)Reassure the patient that this is a common side effect and will resolve on its own.
      B)Suggest increasing fluid intake to alleviate the cough.
      C)Notify the healthcare provider about the cough.
      D)Discontinue the medication immediately.
    4. When caring for a patient on multiple cardiac medications, the nurse notices signs of hypokalemia. Which medication is most likely contributing?
      A)Furosemide.
      B)Spironolactone.
      C)Lisinopril.
      D)Metoprolol.
    Page 4 of 22

    Exam Review

    1. A patient with hyperthyroidism is scheduled for radioactive iodine therapy. Which instruction will be included by the nurse to the patient?(SATA)
      A)Avoid contact with pregnant women and children for several days.
      B)Take your thyroid medication as usual.
      C)Eat a high-iodine diet for a week before treatment.
      D)Increase fluid intake after the procedure.
      E)Eat a low-iodine diet for a week before treatment.
      F)Prolonged intimate contact (including sexual intercourse and kissing) can resume immediately after the procedure.
    2. Which information will the nurse include when teaching a patient about thyroid replacement therapy?
      A)Take the medication before bed.
      B)You will experience beneficial effects of the drug after one week of treatment.
      C)Stop taking the drug if you experience insomnia.
      D)Take the medication in the morning on an empty stomach.
    3. Which would be the best menu choice for a patient who is taking an antithyroid medication?
      A)A seafood platter.
      B)Sushi.
      C)A tofu burger.
      D)Pasta with marinara sauce.
    4. A woman who has type 2 diabetes mellitus is now pregnant. She wants to know whether to take her oral antidiabetic medication. What instructions will she receive?
      A)She should continue the antidiabetic medication at the same dosage.
      B)The antidiabetic medication dosage will be increased gradually throughout her pregnancy.
      C)She will be switched to insulin therapy while she is pregnant.
      D)She will not receive any antidiabetic medication while pregnant and will need to monitor her dietary intake closely.
    Page 5 of 22

    Exam Review

    1. A patient on an ACE inhibitor reports a dry cough. What is the most appropriate nursing response?
      A)Reassure the patient that this is a common side effect and will resolve.
      B)Suggest increasing fluid intake.
      C)Notify the healthcare provider about the cough.
      D)Discontinue the medication immediately.
    2. When caring for a patient on multiple cardiac medications, the nurse notices signs of hypokalemia. Which medication is most likely contributing?
      A)Furosemide.
      B)Spironolactone.
      C)Lisinopril.
      D)Metoprolol.
    3. A patient with hyperthyroidism is scheduled for radioactive iodine therapy. Which instruction will be included by the nurse to the patient?
      A)Avoid contact with pregnant women and children for several days.
      B)Take your thyroid medication as usual.
      C)Eat a high-iodine diet for a week before treatment.
      D)Increase fluid intake after the procedure.
    4. A patient with a history of pancreatitis and cirrhosis is also being treated for hypertension. Which drug will most likely be ordered for this patient?
      A)Clonidine.
      B)Prazosin.
      C)Diltiazem.
      D)Captopril.
    Page 6 of 22